All citations for Delhi Post-Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Delhi Post-Acute

Last standard health inspection on record

May 23, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 25 of 34 citations

  1. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  2. No harm, with potential for more than minimal harm

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2021).

  3. No harm, with potential for more than minimal harm

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2021).

  4. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  5. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  6. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  7. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2021).

  8. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  9. No harm, with potential for more than minimal harm

    Have an alternate power supply for its alarm system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0344, Smoke Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  10. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  11. No harm, with potential for more than minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2021).

  12. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  13. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  14. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2021).

  15. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2021).

  16. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  17. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  18. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2021).

  19. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  20. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  21. No harm, with potential for more than minimal harm

    Have restrictions on the use of highly flammable decorations.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2021).

  22. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2021).

  23. No harm, with potential for more than minimal harm

    Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0928, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 28, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2021).

  24. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  25. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of October 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.